Provider Demographics
NPI:1376913251
Name:HEALING HARMONIES LLC
Entity Type:Organization
Organization Name:HEALING HARMONIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:WAGNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-890-0885
Mailing Address - Street 1:831 W 2550 S
Mailing Address - Street 2:
Mailing Address - City:NIBLEY
Mailing Address - State:UT
Mailing Address - Zip Code:84321-6381
Mailing Address - Country:US
Mailing Address - Phone:435-890-0885
Mailing Address - Fax:
Practice Address - Street 1:831 W 2550 S
Practice Address - Street 2:
Practice Address - City:NIBLEY
Practice Address - State:UT
Practice Address - Zip Code:84321-6381
Practice Address - Country:US
Practice Address - Phone:435-890-0885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-05
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9203190-4010225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty